Extracted text (via pymupdf_layout)
65984 characters
Created Tuesday, February 10, 2015 Updated Wednesday, February 11, 2015 Page 1 General information General information | Organization Circle the City General information | Contact First name Betsy General information | Contact Last name Ganz General information | Contact e-mail bganz@circlethecity.org General information | Contact phone number 602-776-9000 Address Address | Street 333 W. Indian School Road Address | City Phoenix Address | State Arizona Address | ZIP Code 85013 From what tribe is the organization requesting the grant? Gila River Indian Community Total grant amount request $75,000 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program, enter the amount to be requested each year. Amount Year 1 $75,000 Year 2 $ Year 3 $ Year 4 $ Year 5 $ Page 1 Gila River Indian Community Grant Application Cover Sheet Municipality Information Date of Application: March 2, 2015 Name of City, Town or County: Maricopa County Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri Mailing Address: 301 W. Jefferson Street, 10th Floor City: Phoenix State: Arizona Zip Code: 85003 Acknowledgement of Submission by Municipality Representative: Typed Name: Amanda Nash Signature: Applicant Information Department/Organization Name: Circle the City Application Contact Person: Betsy Ganz Title: Development Director Phone Number: 602-357-4246 Mailing Address: 333 W. Indian School Road City: Phoenix State: Arizona Zip Code: 85013 Email Address: bganz@circlethecity.org Project Information Project Name: Recuperative Care for Uninsured Ill or Injured Senior Adults Experiencing Homelessness Purpose of Grant: To provide recuperative medical care and social services to homeless senior adults, age 55 and older, who are recovering from serious illnesses or injuries. Priority Funding Area Healthcare Annual amount requested $75,000 Number of years that funding is 1 requested (1-5) Total amount requested (annual amount $75,000 x # of years) Has your organization received funding Yes. Circle the City received a $70,000 grant from the Gila from Gila River Indian Community in the River Indian Community for fiscal year 2014. past? If yes, please list each year and amount Geographic area served Phoenix Metropolitan Area For Office Use Only: Data Entry Receipt Evaluation Gila River Indian Community Grant Application 1. Circle the City’s (CTC) Organization/Mission/Goals: CTC is a health agency for men and women experiencing homelessness in Maricopa County. The organization’s 50-bed Medical Respite Center embraces homeless people recuperating from illnesses or injuries with compassionate medical care and meaningful human services as they journey toward healthy, independent living. Before CTC opened in 2012, Phoenix was the largest metropolitan area in the nation without a facility where the homeless could medically recover. Along with the medical component, CTC also offers behavioral health and substance abuse counseling, as well as housing placement assistance. Over the past two years, CTC has cared for more than 450 patients with 81% placed in housing other than the street or emergency shelter after discharge, many into permanent housing. In this way, CTC sees its role in the community not only as a healthcare provider for the homeless population but as an agency dedicated to ending homelessness altogether. 2. Goals and Activities of the Project: Homelessness has devastating effects on a person’s health and age only compounds this already harsh and difficult situation. Ill and injured senior adults, age 55 and older, who are experiencing homelessness are particularly vulnerable and have a higher percentage of untreated chronic health conditions as well as co-occurring mental and substance abuse disorders. These patients often require longer stays at CTC because their health conditions are more acute and their recoveries take more time. Frequently occurring conditions include complex wounds requiring daily care; orthopedic fractures; acute infections necessitating IV antibiotics; and untreated chronic diseases like diabetes, hypertension, and COPD. Each senior patient admitted to CTC will participate, as indicated, in the following medical and wrap- • around activities on-site that address the needs of the whole person: - Patients will interact daily with physicians and nurses to make sure medical needs are met. - Patients requiring psychiatric evaluation will consult with a staff psychiatrist. - Patients needing rehabilitation will receive physical therapy. - Patients with substance abuse issues will meet regularly with a peer support specialist who is co- located at CTC. - Patients will meet regularly with case managers who will help patients apply for Social Security and disability insurance benefits as well as identify housing opportunities to ensure that patients will be discharged to housing other than the street or emergency shelter. - Because some post-discharge housing and support services are not available to all senior patients due to the ongoing medical needs of this population, some senior patients in CTC’s care will be transferred to hospice status and subsequently live out their last months at the respite center. Gila River Indian Community Grant Application CTC has set the following objectives for senior patients: • - Ensure that 90% of senior patients successfully complete the medical plan established at the time of admission to the respite center. - Connect 100% of the senior patients who successfully complete treatment with important post- discharge resources including primary care, prescription medications, and psychiatric care as appropriate (excluding hospice patients). - Discharge 65% of senior patients who complete treatment either to transitional or permanent housing, rather than back to the street or emergency shelter (excluding hospice patients). 3. Gila River Indian Community Priority Area: This request falls within the Gila River Indian Community’s Healthcare priority area, specifically direct patient care. 4. Needs Addressed for the Target Population: The National Health Care for the Homeless Council (NHCHC) reports that homeless individuals are three to six times more likely to become ill than the non- homeless population. Poor nutrition, personal hygiene, and a lack of access to preventative healthcare complicate personal health needs. Age further multiplies health problems, particularly untreated chronic conditions like cancer, liver disease, and heart disease. According to a NHCHC study, the average life expectancy of a homeless person in Maricopa County is 47 years, compared to 78 years for a person with housing. In 2014, 42% of the patients cared for at CTC were age 55 and older. This data aligns directly with a phenomenon called “the aging of the homeless,” which was recently discussed in the October 2014 issue of The Lancet. The median age of the homeless population in the United States has risen to nearly 50 years of age. Individuals between the ages of 50-61 have experienced homelessness at higher rates throughout their lives than in previous generations. This is creating more intensive medical needs for this population in the care of chronic diseases, geriatric conditions, frailty, and end-of-life issues. CTC’s senior homeless patients, at age 55 and older, have outlived the average life expectancy on the street but their health has usually been severely compromised. While on the street, many have relied on expensive emergency services like ambulance calls and emergency room visits for their health care needs. This is not only an ineffective and inconsistent form of care but it is exceptionally expensive for local hospitals, governments, and taxpayers. Each year, hospitals write off millions of dollars in uncompensated care for uninsured and underinsured homeless patients. For the average cost of one day of hospitalization--$2,194—CTC provides 10 days of holistic, physician-supervised medical respite care. CTC will continue to customize programs and services to meet the needs of this vulnerable population. In fiscal year 2016, CTC expects to care for approximately 130 senior men and women. 5. New or Continuing Project: CTC’s medical respite program for senior homeless patients is a continuing project that began operations in October 2012. 6. Project Timeline: The duration of this project is July 1, 2015-June 30, 2016. The timeline is flexible as this is an ongoing program of patient care. 7. Organizations/Partners/Funders: Gila River Indian Community Grant Application - Since opening, CTC has served as a hub for collaborating agencies that serve the homeless population. Five major hospital systems in the Valley—Dignity Health, Banner Health, Scottsdale Healthcare, Abrazo Health Care, and the John C. Lincoln Health Network—refer patients to CTC and provide reimbursement for a portion of the care provided. CTC also admits patients on a pro-bono basis from a number of local social service organizations including domestic violence agencies and emergency shelters. In 2014, CTC provided nearly $1 million in charitable care. To maximize the scope of services available to patients at the lowest cost possible, CTC has affiliations for on-site patient care with a number of other organizations including Southwest Behavioral Health for behavioral health counseling services and Community Bridges, Inc., for peer support substance abuse services. CTC is also proud of its academic affiliations with a several local medical schools that provide patients with an array of care options and provide medical students with the experience of caring for acute health conditions: --Midwestern University for podiatry consultation; --A.T. Still University for admitting services by first- and second-year medical students; --Mayo School of Graduate Medical Education for internal medicine and neurology rotations by residents. CTC also collaborates with agencies for post-discharge housing. These partners include Native American Connections, Arizona Housing, Inc., and Ozanam Manor. Finally, Hospice of the Valley owns CTC’s facility and provides reduced rent in exchange for palliative, end-of-life care for a predetermined number of homeless hospice patients each year. - CTC is in the initial stages of raising funds for fiscal year 2016, which begins on July 1, 2015, and has already been fortunate to secure annual philanthropic program support from several foundations including The Del E. Webb Foundation, Dignity Health, and OSNA. Pending funding requests include the Catholic Community Foundation, Dignity Health Social Innovation Partnership, Dr. Scholl Foundation, Order of Malta, Virginia G. Piper Charitable Trust, and Wells Fargo. 8. If Partial Funding Is Received for the Proposed Project: CTC is grateful for all financial support. If partial funding is received for this project, CTC will implement the plan and continue to apply for grants to make up the difference. 9. Long-term Funding Resources and Sustainability: CTC’s long-term sustainability model includes a variety of strategies, some of which are already in place such as bed contracts with local hospitals, two annual fundraising events, and periodic need-specific campaigns. One of the most important strategic achievements in 2014 was the successful integration of the medical respite center into several of the local Medicaid (AHCCCS) health plans for patients of all ages. This strategy secured nearly $500,000 in new funding for the respite center in 2014, and is projected to increase to roughly $1.6 million in 2015. 10. Documentation of Progress and Results: Success will be defined as meeting the measurable objectives defined in Question #2. CTC staff tracks the outcomes of the objectives through its census records. Upon admittance, the Intake Coordinator gathers pertinent information including each patient’s demographic information, date of admittance, and health status. Throughout a patient’s stay, nurses maintain the patient’s medical record and the status of the patient’s medical plan. Case managers track the services that each patient utilizes to secure stable, independent living once discharged, from Gila River Indian Community Grant Application income to disability insurance benefits and housing possibilities. Finally, at discharge, case managers record the patient’s health status, date of discharge, housing status, primary care doctor, and contact information for follow up. 11. Additional Applications To and/or Awards From Tribal Governments: CTC is currently applying for a $10,000 grant from the Fort McDowell Yavapai Nation and a $25,000 grant from the Tohono O’odham Nation. Gila River Indian Community Grant Application Project Budget Budget Period: July 1, 2015-June 30, 2016 Proposed Budget Expense Amount Amount In Kind Total Budget requested from requested or contributions (list each budget item) GRIC secured from other funders 1. Respite Center Program $ 41,305.13 $1,896,433.87 $ $1,896,433.87 Expenses 2. Administrative $ 20,380.23 $ 935,713.24 $ $ 935,713.24 3. Property, Plant & Equipment $ 13,314.64 $ 611,312.00 $ 219,000.00 $ 830,312.00 4. * see Project Budget Detail for a $0 $0 $0 $0 breakdown of the grant request 5. Click here to enter text. $0 $0 $0 $0 6. Click here to enter text. $0 $0 $0 $0 7. Click here to enter text. $0 $0 $0 $0 8. Click here to enter text. $0 $0 $0 $0 9. Click here to enter text. $0 $0 $0 $0 10. Click here to enter text. $0 $0 $0 $0 11. Click here to enter text. $0 $0 $0 $0 12. Click here to enter text. $0 $0 $0 $0 13. Click here to enter text. $0 $0 $0 $0 14. Click here to enter text. $0 $0 $0 $0 15. Click here to enter text. $0 $0 $0 $0 16. Click here to enter text. $0 $0 $0 $0 17. Click here to enter text. $0 $0 $0 $0 Total Budget $ 75,000 $3,443,459.11 $ 219,000.00 $3,662,459.11 Gila River Indian Community Grant Application Project Budget Detail Please provide a narrative description for each of the project budget items. 1. Respite Center Program expenses: • Salaries for respite personnel and contract labor ($28,461.17) • Program staff benefits ($5,124.33) • Program supplies ($2,966.49) • Other direct respite expenses ($4,753.14). 2. Administrative expenses: • Personnel expenses ($14,983.81) • Employee benefits ($2,607.36) • Supplies ($660.03) • Professional Services ($1,150.01) • Board of Directors ($103.46) • Other direct administrative expenses ($875.57) 3. Property, Plant & Equipment expenses: • Building and utilities ($1,716.56) • Equipment maintenance and repair ($588.07) • Supplies (337.60) • Professional Services (5,314.42) • Insurance and licensure ($337.60) Gila River Indian Community Grant Application • Depreciation and amortization ($5,020.39) Stephie G. “Circle the City was a refuge for me at a time when I was homeless on the street with my life-threatening illness. They provided me with a place to stay and gave me time to heal, time to recalibrate, and time to get centered again.” Kim K. “I had a stroke. When I came to Circle the City, the only thing I could do was stand, and that Denise M. was a bare minimum. For six months I went to physical Denise lost her job, her health insurance, and her hope. She ended up living on the therapy sessions, three to four streets and turned to drugs and alcohol to cope. Eventually she went to a substance times a week. Now I can not abuse treatment center and, while there, was diagnosed with breast cancer. She only walk, but I can walk could not stay at the treatment center while undergoing chemotherapy and was without supervision.” referred to Circle the City for medical care. Michael R. “When I was admitted to Circle the City, my whole life changed that day. I felt like I walked into the Hilton of medical facilities. My health, “To see a thriving, energetic my spirituality, my family, and my dreams have been restored. I call facility with employees guiding Circle the City, “The Holy Spirit Hospital.” Thanks to all who patients in a variety of physical contribute to Circle the City. I want to become a volunteer or an and spiritual ways … truly is a employee to support the women and men who come here for healing.” wonder to behold. My trials and tribulations have led me to Circle the City, a house that has preserved my freedom and self-respect.” try Circle the City (CTC) provides medical care and social support that allows patients to rest, heal, and eventually pursue healthy, healing independent living. here #healingthecity Prior to 2012, homeless individuals experiencing Our Facility major illness or injury faced the nearly impossible 50 beds: 40 beds for challenge of recovering on the streets. Hospitals men; 8 beds for women; 2 private rooms provided temporary relief for the most acutely ill, but were inevitably left with no option but to discharge On-site clinic with two exam rooms for homeless individuals back to the street or emergency 24/7 medical and shelters. Without a clean bed, access to medication, nursing consultation physician oversight, and assistance from a Two dining caregiver, recovery was virtually impossible. Patients rooms serving three frequently had no choice but to return to hospitals and meals per day emergency rooms, often via expensive 911 calls. Living room with a Tragically, some even died on the street. television, games, library, and computer stations Circle the City Provides: Dedicated physical therapy space, speech • A clean bed in a dignified environment of care. and occupational • Round-the-clock medical and nursing services. therapy services as needed • Behavioral health supports including psychiatry, Interfaith chapel counseling, and substance abuse services. • Case management services including assistance with housing placement. • An array of volunteer-led activities including AA meetings, art classes, recreation offerings, and pet therapy. try 97% of patients who complete their stays at CTC are connected with a primary care physician before discharge. healing 82% of patients who complete their stays at CTC are discharged to a setting other than the street or emergency shelter. here CTC Partners Led by founder Sister Adele O’Sullivan, CSJ, M.D., Dignity Health CTC’s robust medical team includes primary care Banner Health providers, a psychiatrist, physical therapists, behavioral Scottsdale Healthcare health specialists, and a team of nurses dedicated to Mayo Clinic meeting the needs of each patient admitted to the Arizona Cardinals Medical Respite Center. Additionally, our team of case Phoenix Symphony managers and volunteer patient advocates work to Arizona Diamondbacks connect our patients with healthcare, income, housing, and many others. and other benefits after discharge. CTC is made possible by innovative contracts with local hospital systems and the generosity of the surrounding community. We are deeply grateful for this support and collaboration. CTC is an Arizona Qualifying Charitable Organization. As such, monetary gifts to CTC are eligible for Arizona’s charitable tax credit. Please also consider leaving a gift to Circle the City in your will or trust. a time and place to heal Medical Respite Center info@circlethecity.org 333 W. Indian School Road www.circlethecity.org Circle the City Phoenix, AZ 85013 phone 602.776.9000 Circle the City Donor Gift of Giving “I had a stroke. When I came to Circle the City, Thank you for your interest in supporting Circle the City. We are the only thing I could heartened that you share our vision: For those in our community who are do was stand, and that ill or injured while homeless, there will always be a place to heal, was a bare minimum. recover, and realize a better life. My main physical therapy By donating to Circle the City, you join a community that believes everyone goals while recuperating deserves a time and place to heal. Individuals like you are an important at CTC were to be able part of our charity-care giving program. Your tax-deductible contribution is to walk independently essential to provide our patients with compassionate medical care, meaningful human services, behavorial health programs, and assistance in for long distances and to housing placement as they journey toward healthy, independent living. regain the use of my right arm. For six months Please consider the following options to support Circle the City today: I went to physical therapy • Multi-Year Pledge sessions, anywhere from three to four times a • Tax Credit for Qualifying Charitable Organizations week ... I also received • Memorial or Tribute Gift electrotherapy for my hand. Now I can not only • Planned Giving walk, but I can walk without supervision. At • Workplace Giving first I couldn't even feel my arm, but now I'm feeling stronger. For more information about Circle the City’s giving programs, contact: Eventually I'd like to go Betsy Ganz 602-357-4246 back to school and enroll Development Director bganz@circlethecity.org in a vet tech program.” - Kim K., CTC patient a time and place to heal Medical Respite Center info@circlethecity.org Please consider leaving a 333 W. Indian School Road www.circlethecity.org gift to Circle the City in your will. Phoenix, AZ 85013 phone 602.776.9000 Circle the City Please fill out and return “The heart that gives, gathers.” - Marianne Moore this form to Circle the City. Name: _______________________________________________________________ Phone: ________________________________ Address: _____________________________________________________________ Email: _________________________________ My gift type is: A Multi-Year Pledge • I intend to contribute Cash Securities Marketable real or personal property for a total of $ __________ payable over _______ years, beginning ________________________________ (date) • I prefer to receive pledge reminders: Monthly Quarterly Annually Reminders will be sent annually on the date of the original gift unless otherwise noted here: ___________________________________________________________________________________________ A One-Time Financial Gift of $ ___________________ Your tax-deductible gift may be made via check, online (www.circlethecity.org, click the Donate Now button), or by credit card: Visa MC AMEX Card number: _____________________________________________________________ Expiration date: ___________________ Signature: _______________________________________________________ I have included Circle the City in my will or estate plan. I'm interested in learning more about Planned Giving. Please contact me. Please send me the monthly CTC newsletter. Please consult with your accountant or tax preparer regarding charitable tax deductions. Circle the City Volunteer Opportunities Patient Activities Patient Healing Staff Support • Patient advocates to lead new • AA and NA meeting facilitators • Administrative assistance patient orientations and assist in applying for benefits • Art therapists • Food service handlers • Holiday and Birthday Committee • Massage therapy including Reiki, • Handymen and handywomen to decorate the dining halls and reflexology for facility repairs and living room, and facilitate the monthly birthday parties • Music therapists • Project management for patients and staff members • Nurses to assist with • Provide help to Respite • Musicians to perform for patients medication distribution, charting, Assistants with bed making, meal wound care, and other support service, and laundry • Patient companions to visit with tasks (morning and afternoon) our patients, accompany our “Family, we don't patients to events, appointments, • Pet therapists and on field trips, and help have it all together, but where needed • Physical therapy assistants together we have it • Recreation coordinators to all! At Circle the City you facilitate bingo, board games, Patient Education are surrounded by exercise classes, gardening, horseshoes, and video game • Crafts instruction for crocheting, the arms of the angels. tournaments knitting, and quilting They help you heal: • Social/entertainment coordinators • Education and self improvement physically, spiritually, to facilitate casino nights, karaoke classes, including seminars on evenings, movie nights, theme financial planning, life skills, job emotionally, and mentally. dinners, and weekend activities skills, resume writing, and nutrition You learn how to live, • Translators of all languages, • Tutors love, and laugh again!” particularly Spanish - Devona B., CTC patient For more information, contact: Mike Santeusanio 602-357-4266 Volunteer and Activities Director msanteusanio@circlethecity.org Circle the City Volunteer Volunteering at Circle the City Circle the City is thankful for its ever-widening circle of volunteers “Besides giving a bed who provide programs, activities, and events for our patients and support to rest and three meals services for our staff. Most volunteer either weekly or monthly but other opportunities exist as well for: a day, Circle the City integrates the whole self, Individuals An array of opportunities are available, depending on your experiences offering case and interests. Volunteer positions are always being added but we also invite you to share your passions from juggling to scrapbooking, management, individual stand up comedy to yo-yoing, or whatever your hobbies might be. therapy and group Groups therapy and, if one avails Group activities include off-site clothing, shoe, and hygiene item drives as themselves, one can well as special projects, perfect for church groups, service clubs, and employee organizations. This is also a good option for groups of students who are under learn to play the piano, the age of 18 and all other prospective volunteers who are under the age of 21. take creative writing Professional Services workshops, and have a Sometimes patients arrive at Circle the City needing legal advice, accounting front row seat to assistance, and other professional services for which our patients cannot afford to pay but that our volunteers graciously provide pro bono. Phoenix Symphony ensemble events ... And To Volunteer what amazed me Please fill out the attached application or access our online application at: most is the dedication www.circlethecity.org/volunteer. and caliber of every Once you have returned the application, you will be contacted single staff member, as about attending the next scheduled volunteer orientation. Thank you well as volunteers.” for sharing your time and talents! - Stephie G., CTC patient a time and place to heal Medical Respite Center info@circlethecity.org Please consider leaving a 333 W. Indian School Road www.circlethecity.org gift to Circle the City in your will. Phoenix, AZ 85013 phone 602.776.9000 Circle the City Patients Photo courtesy of the Arizona Republic New Patients at Circle the City Thank you for considering Circle the City for your medical needs. We are a Medical Respite Center for people who are experiencing homelessness while ill or injured. We opened in October 2012 and are located at 333 W. Indian School Road in Phoenix. This sheet will provide you with general information about Circle the City. Services Activites • 24/7 medical oversight by Circle the City's medical team We offer an array of volunteer-led patient activities including: • Continuous nursing supervision including skilled services such as wound care and IV therapy AA and NA meetings Art classes and craft sessions • Psychiatric assessment and stabilization Barber and hair stylist services DJ nights • Behavioral health counseling Games (bingo, cards, and Wii) Job/life/resume skills instruction • Substance abuse therapy, both individual and group Meditation and chair yoga Monthly birthday celebrations • Physical therapy, occupational therapy, and speech therapy as indicated Movie nights by the needs of each patient Music and voice lessons Pastoral care • Case management to connect patients with important discharge Pet therapy resources including AHCCCS, housing placement, and other benefits Phoenix Symphony performances Translation assistance Tutoring “Circle the City was a refuge for me at a time when I was homeless on the street with my life-threatening illness. They provided me with a place to stay and gave me time to heal, time to recalibrate, and time to get centered again.” - Stephie G. a time and place to heal Medical Respite Center info@circlethecity.org Please consider leaving a 333 W. Indian School Road www.circlethecity.org gift to Circle the City in your will. Phoenix, AZ 85013 phone 602.776.9000 Circle the City Frequently Asked Questions 1. What is Medical Respite care? Medical Respite care is for those who have not yet recovered from a physical illness or injury but are not ill enough to remain in a hospital. Medical Respite care allows Circle the City patients the opportunity to stay in a safe residential environment while accessing medical care and case management services. 2. Is Circle the City a shelter? No, Circle the City is a Medical Respite Center that looks similar to a hospital. Our facility includes: • 50 beds--40 beds for men, 8 beds for women, • Therapy room for physical therapy, occupational and 2 private rooms therapy, and speech therapy • Medical clinic with two exam rooms • Two dining rooms serving three meals a day, for in-patient primary care services seven days a week • Living room with television, games, a library, • Interfaith chapel and computer stations 3. What is the average length of stay? While your time with us is dependent upon your individual medical needs, our average length of stay is approximately 30 days. 4. What other supportive assistance does Circle the City provide its patients? • Medical care including access to vision care • Assistance in connecting you with and dental care if necessary, physical spiritual advisors, weekly meditation classes, therapy, occupational therapy, and speech therapy and prayer groups. • Psychiatric care • Intellectual pursuits including tutoring, resume writing and job interviewing skills sessions, budgeting and • Behavioral health counseling including weekly financial management workshops, legal counseling, wellness groups and AA and NA meetings and translation services • Emotional assistance including help contacting • Recreation classes including art instruction, bingo, family and friends, and counseling for grief and loss field trips, and crafts sessions Circle the City Hospitals Referrals to Circle the City Services Circle the City (CTC) collaborates with most of the major health care • 24/7 medical oversight by systems in Maricopa County to provide high-quality, cost-effective care to Circle the City's medical team people experiencing homelessness as they transition out of hospitals. The physicians, nurses, and caregivers at CTC's 50-bed Medical Respite Center are • Continuous nursing supervision committed to ensuring that each person admitted is given the chance to including skilled services such as medically heal and stabilize. Skilled staff members and volunteers supplement wound care and IV therapy primary care services with multiple physical therapy sessions each week, and both speech and occupational therapy as indicated by our patients' individual • Psychiatric assessment and needs. Mental healthcare is also offered by way of on-site psychiatric stabilization consultation, general mental health counseling, and substance abuse services. • Behavioral health counseling At the same time that each individual is being treated for his or her medical condition, CTC's case management team works diligently to connect • Substance abuse therapy, both our patients with relevant benefits, income and, most importantly, housing. individual and group At CTC, we know that stable healthcare and stable housing are synonymous: one can't exist without the other. • Physical therapy, occupational therapy, and speech therapy Since opening our doors, we have connected more than 82% of our as indicated by the needs of patients who successfully completed our program with housing other than the each patient street or emergency shelter. In other words, when you send a patient to Circle the City, you're not only helping address their illness or injury, you are • Case management to helping to end homelessness entirely. connect our patients with important discharge resources including AHCCCS, housing For the average cost of one day of hospitalization, placement, and other benefits Circle the City provides 10 days of holistic, physician- supervised Medical Respite Care.* *Bas ed on a figure of $2,194 per inpatient day from the 2011 American Hospital Associa tion Annual Survey. a time and place to heal Medical Respite Center info@circlethecity.org Please consider leaving a 333 W. Indian School Road www.circlethecity.org gift to Circle the City in your will. Phoenix, AZ 85013 phone 602.776.9000 Circle the City Photo courtesy of the Arizona Republic Admitting Criteria Case workers or for Medical Respite Care clinicians may make a referral to Circle the City • Age 18 or over by calling 602-357-4803. • Homeless or imminently homeless . • Needs recuperative services but has no other option for obtaining them Activites • Has potential for improvement and discharge within approximately 6 weeks We offer an array of volunteer-led patient activities including: 2. • Does not require more than minimal assistance with ADLs AA and NA meetings • Does not require mechanical assistance with ventilation Art classes Barber and hair stylist services • Does not require the administration of IV therapy with special supervision, Craft sessions such as chemotherapy DJ nights Games (bingo, cards, and Wii) 3. • Psychiatrically stable (not a danger to self or others, not requiring physical Job/life/resume skills instruction restraints) Meditation and chair yoga Monthly birthday celebrations • Does not require management of alcohol, benzodiazepine, or opiate Movie nights 4. withdrawal Music and voice lessons Pastoral care • Does not need secured environment for dementia care Pet therapy Phoenix Symphony performances • Willing to come to Circle the City, abide by facility rules, and actively Translation assistance participate in self care Tutoring “To see a thriving energetic facility with employees guiding patients in a variety of physical and spiritual ways, opening all horizons lined with the ways of hope, truly is a wonder to behold. My trials and tribulations have led me to Circle the City, a house that has preserved my freedom and self-respect. Truly thankful.” - Michael R., CTC Patient Created Thursday, February 12, 2015 Page 1 General information General information | Organization Arizona Brainfood General information | Contact First name Claudia General information | Contact Last name Walters General information | Contact e-mail steveandclaudiawalters@gmail.com General information | Contact phone number 480-226-2078 Address Address | Street PO Box 242 Address | City Mesa Address | State AZ Address | ZIP Code 85211-0242 From what tribe is the organization requesting the grant? Gila River Indian Community Total grant amount request $20,000 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program, enter the amount to be requested each year. Amount Year 1 $ Year 2 $ Year 3 $ Year 4 $ Year 5 $ Page 1 Gila River Indian Community Grant Application Cover Sheet Municipality Information Date of Application: 2/12/2015 Name of City, Town or County: Maricopa County Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri Mailing Address: 301 W. Jefferson City: Phoenix State: Arizona Zip Code: 85003 Acknowledgement of Submission by Municipality Representative: Typed Name: Amanda Nash Signature: Applicant Information Department/Organization Name: Arizona Brainfood Application Contact Person: Claudia Walters Title: Grant Writer Phone Number: 480-226-2078 Mailing Address: PO Box 242 City: Mesa State: Arizona Zip Code: 85211-0242 Email Address: steveandclaudiawalters@gmail.com Project Information Project Name: Arizona Brainfood Backpack Program Purpose of Grant: Feeding elementary-age children at risk of hunger on weekends so they are prepared to learn. Priority Funding Area Healthcare Annual amount requested $20,000 Number of years that funding is requested (1- 1 5) Total amount requested (annual amount x # of $20,000 years) Has your organization received funding from No Gila River Indian Community in the Past? If yes, please list each year and amount Geographic area served Mesa, Tempe, Chandler, Gilbert School Districts For Office Use Only: Data Entry Receipt Evaluation Gila River Indian Community Grant Application Narrative Please structure your proposal to provide the following information in the order indicated. List the heading first and then provide the narrative in paragraph form. Please be thorough but strive for brevity. 1. Briefly describe the organization’s mission, history and goals. 2. Describe the goals and activities of the proposed project. 3. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River Indian Community. 4. Identify the needs/problems to be addressed, target population and number of people to be served by the project. 5. Define the project as a new or continuing program. 6. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible. 7. Identify other organizations, partners or funders participating in the project and their roles. 8. Would you be able to implement the proposed plan if your organization received partial funding for this project? 9. Describe your plan for project sustainability beyond the grant period. 10. Describe your plan to document progress and results. 11. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state shared revenues for this and any other project. Gila River Indian Community Grant Application Project Budget Budget Period: July 1, 2015-June 30, 2016 Proposed Budget Expense Amount Amount In Kind Total Budget (list each budget item) requested from requested or contributions GRIC secured from other funders 1. Insurance $0 $840 $0 $840 2. Fundraising Expenses $0 $10,500 $0 $10,500 3. Tax (990) Preparation $0 $1,050 $0 $1,050 4. Professional Fees $0 $525 $0 $525 5. Food Purchases for Backpacks $20,000 $389,900 $45,500 $455,400 6. Office Supplies $0 $1,050 $0 $1,050 7. Warehouse Equipment 0 $4,000 $0 $4,000 8. Truck Expenses $0 $2,100 $0 $2,100 9. Mailing & Postage $0 $1,050 $0 $1,050 10. Printing & Copying $0 $2,625 $0 $2,625 11. License & Fees $0 $110 $0 $110 12. Miscellaneous $0 $2,100 $0 $2,100 13. Reserve to Start 2016-17 $0 $20,000 $0 $20,000 Purchases 14. Building for Brainfood Warehouse $0 0 $22,000 22,000 15. Click here to enter text. $0 $0 $0 $0 16. Click here to enter text. $0 $0 $0 $0 17. Click here to enter text. $0 $0 $0 $0 Total Budget $0 $0 $0 $523,350 Gila River Indian Community Grant Application Project Budget Detail Please provide a narrative description for each of the project budget items. 1. Insurance 2. Expenses for events, promotional materials, grantwriting, etc. 3. Preparation of 990 4. Budgeted for consulting or best practices fees 5. Purchasing food to go into backpacks. (Bashas’ helps AZBF get this at or near cost.) 6. Paper, pens, etc. 7. Tables, chairs, other items need for warehouse area. 8. Expenses for truck used to deliver backpacks. 9. Letters/mailings 10. Printing brochures, fliers, etc. Copying. 11. Licensing and other fees 12. Unanticipated expenses 13. Money available to start purchasing food for upcoming school year 14. Mesa Public Schools provides the warehouse space as an in-kind donation 15. Click here to enter text. 16. Click here to enter text. 17. Click here to enter text. Other explanation: Click here to enter text. Narrative for Arizona Brainfood For Gila River Indian Community Grant Application 1. Briefly describe the organization’s mission, history, and goals. Arizona Brainfood is a totally volunteer-run non-profit, founded in late 2008 to provide elementary-aged, Arizona children in need with food for the weekends. Founder Ruth Collins was dismayed to discover that there were hundreds of children in her hometown of Mesa, Arizona, who were going without or having inadequate food from the time they ate a school lunch on Friday until they returned to school on Monday and had a school breakfast. She knew that if this was a problem in Mesa, it was a problem in other Arizona communities, as the demographics of Mesa closely mirror the demographics of the State. She recognized that this was not only a health issue, but also an education issue. A hungry child cannot focus on learning. Ruth started talking to family members and friends about these concerns with a determination to find solutions. She looked around the country for best practices, talked to school officials to get their input and buy-in, formed a board of active and engaged individuals, and Arizona Brainfood was born. In 2009, Brainfood supplied fewer than a dozen schools in Mesa with food bags. With growing awareness and additional funding, more school districts and schools have been added. By the 2010-11 school year, there were 21 schools and the number reached 50 by 2012-13. In the 2014-15 school year, Brainfood is supplying bags to 78 elementary schools in Chandler, Gilbert, Mesa and Tempe. This funding is being requested for the 2015-16 school year. AZBF is planning on serving children at 84 elementary schools in that school year. Arizona Brainfood’s goals are to alleviate childhood hunger, increase children’s potential for learning, and increase the likelihood of healthy, successful futures for program participants. By discreetly providing a backpack of food to feed hungry school children on the weekends, children should return to school every Monday mentally aware and physically able to concentrate. 2. Describe the goals and activities of the proposed project. Arizona Brainfood’s only program is the weekend backpack program. The goal is to prevent childhood hunger and improve the ability of at-risk children to concentrate and learn. This is accomplished by discretely delivering each Friday during the school year a bag of child-friendly food to elementary-age children who have been identified as being at risk for having insufficient food over the weekend. 3. Describe how the proposed project satisfies one or more the priority funding areas identified by the Gila River Indian Community. This project fits in both the healthcare and education priority funding area. Children need adequate food to be healthy and they need adequate nutrition to be able to concentrate and learn. 4. Identify the needs/problems to be addressed, target population, and number of people to be served by the project. The problem is childhood hunger at its impact on learning. The target population is elementary- age children who attend schools in Chandler, Gilbert, Mesa, and Tempe. It is projected that approximately 2400 children will receive bag of food each week during the grant period. That will result in just under 80,000 bags of food being provided to at-risk elementary-age children. 5. Define the project as a new or continuing program. This is a continuing project. 6. Provide a brief timeline, including start and finish dates. Indicate if the timeline is flexible. Identify other organizations, partners, or funders participating in the project and their roles. The backpack program coincides with the school year. We are requesting funding to assist with the 2015-16 school year, so the project generally runs from August 1 through the last week of May. Other organizations, funders, and partners anticipated to help include: Bashas’, Boeing, Cash1, Cowley Companies, East Valley Disaster Services, Employees Community Fund of Boeing – Arizona, Farnsworth Companies, Knights of Columbus, Mesa Hohokams, Mesa United Way. Okland Construction, Safeway, the Steele Foundation, United Healthcare, Verhaaren Companies, and Weathermasters. All of these organizations have provided funding. In addition, Alpine Valley Bread has provided bread products and Bashas’ has helped get reduced cost for food products. There are also many individuals, families and neighborhoods who have contributed. Also, there are approximately 80 volunteers who pack bags and deliver them to the schools each week for distribution. Arizona Brainfood functions because there are so many caring and concerned people who are willing to give both time and resources. 7. Would you be able to implement the proposed program if your organization received partial funding for this project? Yes. AZBrainfood will still run its program. The issue is how many children it can serve. 8. Describe your plan for project sustainability beyond the grant period. AZBrainfood continues to build a broad and strong donor base. Because there is no paid staff, it is reliant on a stable base of volunteers and donors and adding new volunteers and donors as the program expands to serve additional schools. 9. Describe your plan to document progress and results. Arizona Brainfood has surveys that go out each year to four different groups: children served, parents whose children are served, school teachers/school health office personnel, and school liaisons for AZBrainfood. The information from those surveys lets AZBF know what is working, what needs to be tweaked, and what the results have been. The feedback received has been both heart-wrenching and heart-warming. Children have reported that they keep the food in a special place so they won’t be hungry any more. Teachers have reported back that they have seen a decrease in absences and improved behavior from children receiving AZBF food bags. School liaisons share stories (without names – privacy is very important) about children whose single mother has cancer and the family is struggling or families living in cars. The information gathered from these surveys is valuable and important to Arizona Brainfood. 10. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state shared revenues for this or any other project. No other tribes have been applied to and no awards made by other tribes. Created Monday, February 16, 2015 Page 1 General information General information | Organization YWCA Metropolitan Phoenix General information | Contact First name Regina General information | Contact Last name Edwards General information | Contact e-mail regina.edwards@ywcaaz.org General information | Contact phone number 602-258-0990 Address Address | Street 755 E Willetta St Address | City Phoenix Address | State AZ Address | ZIP Code 85004 From what tribe is the organization requesting the grant? Gila River Indian Community Total grant amount request $50000 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program, enter the amount to be requested each year. Amount Year 1 $25000 Year 2 $25000 Year 3 $ Year 4 $ Year 5 $ Page 1 Gila River Indian Community Grant Application Cover Sheet Municipality Information Date of Application: 3/2/2015 Name of City, Town or County: Maricopa County Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri Mailing Address: 301 W. Jefferson 10th Floor City: Phoenix State: Arizona Zip Code: 85003 Acknowledgement of Submission by Municipality Representative: Typed Name: Amanda Nash Signature: Applicant Information Department/Organization Name: YWCA Metropolitan Phoenix Application Contact Person: Bridget Costello Title: Development Director Phone Number: (602) 258-0990 Mailing Address: 755 E. Willetta St. City: Phoenix State: Arizona Zip Code: 85006 Email Address: bridget.costello@ywcaaz.org Project Information Project Name: Senior Meals Program Purpose of Grant: To provide meals for seniors wo would not otherwise eat. Priority Funding Area Healthcare Annual amount requested $25,000 Number of years that funding is requested (1-5) 2 Total amount requested (annual amount x # of $50,000 years) Has your organization received funding from Gila No River Indian Community in the Past? If yes, please list each year and amount Geographic area served Glendale area For Office Use Only: Data Entry Receipt Evaluation Gila River Indian Community Grant Application Gila River Indian Community Grant Application Narrative Please structure your proposal to provide the following information in the order indicated. List the heading first and then provide the narrative in paragraph form. Please be thorough but strive for brevity. 1. Briefly describe the organization’s mission, history and goals. 2. Describe the goals and activities of the proposed project. 3. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River Indian Community. 4. Identify the needs/problems to be addressed, target population and number of people to be served by the project. 5. Define the project as a new or continuing program. 6. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible. 7. Identify other organizations, partners or funders participating in the project and their roles. 8. Would you be able to implement the proposed plan if your organization received partial funding for this project? 9. Describe your plan for project sustainability beyond the grant period. 10. Describe your plan to document progress and results. 11. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state shared revenues for this and any other project. Gila River Indian Community Grant Application Project Budget Budget Period: July 1 2014 to June 30 2015 Proposed Budget Expense Amount Amount In Kind Total Budget requested from requested or contributions (list each budget item) GRIC secured from other funders 1. Communications $0 $3,002 $0 $3,002 2. Depreciation $0 $8,180 $0 $8,180 3. Employee Benefits $0 $25,812 $0 $25,812 4. Food- Raw $25,000 $212,360 $0 $237,360 5. Food- Packaged $0 $24,900 $0 $24,900 6. Insurance $0 $17,792 $0 $17,792 7. Occupancy, Bldg, Permits $0 $51,480 $0 $51,480 8. Payroll Taxes $0 $29,609 $0 $29,609 9. Postage $0 $540 $0 $540 10. Printing $0 $1,006 $0 $1,006 11. Professional Services $0 $24,720 $0 $24,720 12. Salaries $0 $323,599 $0 $323,599 13. Supplies $0 $4,821 $0 $4,821 14. Transportation $0 $26,070 $0 $26,070 15. Vehicle Fuel & Repair $0 $4,320 $0 $4,320 16. Click here to enter text. $0 $0 $0 $0 17. Click here to enter text. $0 $0 $0 $0 Total Budget $25,000 $758,211 $0 $783,211 Gila River Indian Community Grant Application Project Budget Detail Please provide a narrative description for each of the project budget items. 1. Communications- Phone and internet 2. Depreciation- vehicles used for in home meal delivery 3. Employee Benefits- healthcare, paid time off 4. Food- Raw raw fresh food used for meal preparation 5. Food- Packaged package food used in meal preparation 6. Insurance- Employee payroll, vehicle and buildings 7. Occupancy, Bldg, Permits- rents and fees for buildings and facility use 8. Payroll taxes- payroll taxes 9. Postage- for constituent mailings 10. Printing- expenses for printed materials for constituents ad conducting business 11. Professional services- various professional contracted services for program activities and nutritional consulting 12. Salaries- staffing for four facilities 13. Supplies- various office supplies needed 14. Transportation- payments on vehicles used for meal delivery 15. Vehicle fuel & repair- repairs to vehicles, fuel expense 16. Click here to enter text. 17. Click here to enter text. Other explanation: This is the first year budget for the first year of the request and will remain largely unchanged for the second year of the request beginning July 1 2015. Expected variances may include increase in fuel and or food expenses. 2015 Gila River Indian Community Grant Request Narrative Submitted by YWCA Metropolitan Phoenix 1. Briefly describe the organization’s mission, history, and goals. YWCA formed in London, England in 1855 by Emma Robarts and Mrs. Arthur Kinnaird. In 1858, YWCA formed in the United States with women’s residences opening in New York and Boston. A long history providing social services and creating a platform of equality led the YWCA to Arizona in 1912. YWCA Maricopa County’s (YWCA) mission is dedicated to eliminating discrimination, empowering women, and promoting peace, justice, freedom and dignity for all. Since 1912, YWCA programs have educated, advocated for, fed, and provided vital support to vulnerable members of our community. Our clients are low-income women and their families, seniors, and disabled adults in Maricopa County. The specific community issues YWCA programs address are elderly hunger in Glendale, financial instability, and empowering women. In Maricopa County, our low-income elderly, disabled adults, and families with children face hunger and food insecurity (not knowing when your next meal will be) daily. A 2005 study by the Association of Arizona Food Banks indicated that 71% of food bank clients were food insecure and 38% experienced hunger. Forty-one percent said they chose between buying food and paying utilities. The Valley West Senior Center program provides a hot, nutritious meal every weekday for 1,150 seniors in the West Valley. For the majority of them, it is their only meal of the day. Financial literacy impacts individuals across income levels. However, the impact is more significant for low-income women, many of whom are the sole financial providers for their household because of divorce, domestic abuse, or the death of a spouse. YWCA’s Own It program provides a comprehensive curriculum and ongoing support to help low-income women improve their financial position. Financial education helps prevent poverty and reduces reliance on government and community programs. YWCA works to advance women both in the home and in the workplace. Efforts include women and family advocacy through public policy, presentations on current local issues to educate and empower women, scholarships, and professional business mentoring. YWCA also hosts an annual Tribute to Leadership Awards event, honoring individuals whose accomplishments help to eliminate discrimination and empower women. Organization Goals: Goal A: Fund Development: Create, implement, and manage a comprehensive fundraising operation. Goal B: Organizational Development: Ensure the YWCA is financially sound and has appropriate policies .and procedures in place to strengthen stability and accountability Goal C Board Development: Enhance the Board to represent the community and strengthen the organization. Goal D: Marketing and Communications: Strengthen the brand and increase awareness of the YWCA. Goal E: Programs: Create and sustain programs that achieve our mission. 2. Describe the goals and activities of the planned project. Valley West Senior Center provides congregate meals, social activities, companionship, and transportation to 1,150 low-income senior and disabled adults in the Glendale area. YWCA coordinates services among four locations to provide nutritionally balanced hot meals at noon, educational opportunities, self- improvement activities, health screenings, health fairs, activities, and outings to engage and support clients. YWCA delivers meals and companionship to clients who are homebound and provides other transportation as needed. Home meal delivery also serves as a social visit and wellness check. These visits often loneliness, isolation, and mental health status checks. The Centers also provide pet food for client animal companions through our We Feed Four Feet program. All YWCA program staff are trained and undergo background checks. Program Goal: 2015 Gila River Indian Community Grant Request Narrative Submitted by YWCA Metropolitan Phoenix 1) Seniors and/or disabled adults eat at least one nutritious meal each week day. Objectives: 1) Provide 33,000 congregate meals to seniors and disabled adults in the Glendale area at one of four multi-cultural centers. 2) Deliver 60,000 hot, nutritious meals to homes of seniors and disabled adults unable to visit one of our Centers. Activities: 1) Serve one hot, nutritious meal each weekday at one of three senior center locations and once a month at an additional senior center. 2) Registered dietitian approves all meal menus. 3) Provide transportation to and from each senior center location for congregate lunch participants. 4) Provide meal delivery for homebound participants. 5) Schedule Health and Wellness presentations at two centers twice a month. 6) Provide socialization activities, special events, community resources, supplemental food programs, health fairs, and health screenings to address loneliness and isolation. 3. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River Indian Community. This program addresses the Healthcare by providing nutritious hot meals, disease prevention, wellness activities, recreational activities that promote physical fitness, nutrition in seniors and disabled adults. 4. Identify the needs/problems to be addressed, target population and number of people to be served by the project. The City of Glendale reports that it’s fastest growing population segment is baby boomers, ages 55 to 64. This is the age group most at risk for senior hunger according to Meals on Wheels Association of America Foundation. In Glendale, 12% of the elderly live in poverty in comparison to the national average of 8.9%. The U.S. Senate Committee on Education and Labor maintains that proper nutrition extends seniors’ lives and helps them maintain independence when combined with recreation, socialization, and education. Nutrition programs prevent or delay placement of senior in nursing homes and help people manage chronic health conditions, according to the Massachusetts Dietetic Association. The AARP reports that more than one-third of seniors surveyed are lonely, and the statistics are higher for low-income seniors (Loneliness Among Older Adults, A National Survey by AARP, September 2010.) In general, better nutrition improves overall health, immune systems, and functionality. Key findings from our statistics include that 57% of participants report their meal from YWCA as their main meal and 47% report as their only meal of the day. The impact is that a majority of the elderly participants avoid hunger and hunger related illness. 5. Define the project as new or continuing. Continuing project 6. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible. This is a year round program with a fiscal year ending on June 30th. 7. Identify other organizations, partners or funders participating in the project and their roles. The YWCA collaborates and shares resource with several agencies in the west Valley with a goal to eliminate elderly hunger, and the only organization that delivers meals to the elderly in the West Valley. The Valley West Senior Center coordinates meal service and delivery among three other multi-cultural centers including Glendale Community Center, Glendale Adult Center, and the Japanese Senior Center. The City of Glendale provides recreation and socialization activities. St. Mary’s Food Bank Alliance shares maintenance food and supply items, and stocks our food pantry with take home items. Gleaners Brown Bag Program supplies free food products out of the Valley West Senior Center weekly and Waste Not provides excess food products. The YWCA Center also collaborates with the Area Agency on Aging 2015 Gila River Indian Community Grant Request Narrative Submitted by YWCA Metropolitan Phoenix to develop, coordinate, and deliver services to seniors. For more than 10 years, the YWCA Center also provides free use of our facility and multi-passenger van during off hours to the DEFAP and Fiesta Mexicana Dance Company, nonprofit whose mission is to reduce teenage drug abuse. 8. Would you be able to implement the proposed plan if your organization received partial funding for this project? Yes, although we may have to reduce the number served if we do not reach our fundraising goals. 9. Describe your plan for project sustainability beyond the grant period. The YWCA initiated collaborations with other non-profit organizations to decrease and ultimately eliminate hunger in Glendale's elderly community. We also collaborate extensively with the Area Agency on Aging (AAA) Region One to plan and coordinate services for seniors. The Valley of the Sun United Way has long supported our programs to improve the quality of Glendale's elderly residents. We also work extensively with the City of Glendale and receive funding through their CDBG funding to support this program. 10. Describe your plan to document progress and results. YWCA measures impact based on positive change in the client’s life. The expected impact of this program is that YWCA provides a hot, nutritious meal each week day for 1,150 seniors who would otherwise experience hunger or food insecurity. According to client Pauline, age 77, “My home delivered meal from YWCA is my lifeline as I physically am unable to shop, due to severe sciatica. There are many days I would not eat if it weren’t for this program.” FY 2013-2014 Participation and achievement for TOTAL individuals who gain knowledge about nutrition programs (WIC & SNAP) is based on unduplicated persons from Glendale Community Center (70), Valley West Senior Center (95) and Home Delivered Meal clients (454). Senior Center participants receive the monthly newsletter that contains printed health/nutrition information. The newsletter also contains a calendar advertising all on-going supplemental food programs, health/nutrition/wellness programs. Participants who attend the senior centers have the opportunity to receive additional resources and assistance in securing additional nutritional programs. Staff are available to assist with resources, referrals, and filling out applications as needed. Additional supplemental food/nutrition programs are offered at the Valley West Senior Center location. The Area Agency on Aging, Maricopa County Senior Adult Independent Living Program and Arizona Long Term Care Services Case Managers' have pre-qualified our Home Delivered Meal clients and verified they are at risk for hunger based on factors including; limited income/resources and/or being physically incapable of preparing meals along with being categorized as homebound. Case Managers provide referrals and application assistance for all applicable food/supplemental programs their clients are eligible to receive. This occurs during the initial in-home assessment and on-going services as part of each client’s care plan. The projected totals for 2014-2015 will remain unchanged. 11. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state shared revenues for this and any other project. None at this time, but we plan to submit a $25,000 request to Ft. McDowell. Created Wednesday, February 18, 2015 Page 1 General information General information | Organization American Red Cross General information | Contact First name Barbara General information | Contact Last name Carey General information | Contact e-mail barbara.carey@redcross.org General information | Contact phone number 602-347-6508 Address Address | Street 6135 N Black Canyon Highway Address | City Phoenix Address | State AZ Address | ZIP Code 85015 From what tribe is the organization requesting the grant? Gila River Indian Community Total grant amount request $175,000.00 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program, enter the amount to be requested each year. Amount Year 1 $ Year 2 $ Year 3 $ Year 4 $ Year 5 $ Page 1 Created Friday, February 27, 2015 Page 1 General information General information | Organization Circle City Morristown Fire Department General information | Contact First name Lacy General information | Contact Last name Sorensen General information | Contact e-mail admin@ccmfd.org General information | Contact phone number 6233889473 Address Address | Street PO Box 26 Address | City Morristown Address | State AZ Address | ZIP Code 85342 From what tribe is the organization requesting the grant? Gila River Indian Community Total grant amount request $300000.00 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program, enter the amount to be requested each year. Amount Year 1 $300000.00 Year 2 $ Year 3 $ Year 4 $ Year 5 $ Page 1 Created Friday, February 27, 2015 Page 1 General information General information | Organization Wittmann Vol. Fire District General information | Contact First name Eddie General information | Contact Last name Rios General information | Contact e-mail eddie.rios@wittmannfire.org General information | Contact phone number 6233882814 Address Address | Street 20303 W. Patton Road Address | City Wittmann Address | State Arizona Address | ZIP Code 85361 From what tribe is the organization requesting the grant? Gila River Indian Community Total grant amount request $207,000.00 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program, enter the amount to be requested each year. Amount Year 1 $ Year 2 $ Year 3 $ Year 4 $ Year 5 $ Page 1